Consensus criteria for traumatic grief

British Journal of Psychiatry - Tập 174 Số 1 - Trang 67-73 - 1999
Holly G. Prigerson1, M. Katherine Shear2, Selby Jacobs2, Charles F. Reynolds2, Paul K. Maciejewski2, Jonathan Davidson2, Robert A. Rosenheck2, Paul A. Pilkonis2, Camille B. Wortman2, Janet B. W. Williams2, Thomas A. Widiger2, Ellen Frank2, David J. Kupfer2, Sidney Zisook2
1Yale University, New Haven, CT
2Northeast Program Evaluation Center, Veterans Affairs Medical Center (182), Campbell Avenue, West Haven, CT 06516

Tóm tắt

BackgroundStudies suggest that symptoms of traumatic grief constitute a distinct syndrome worthy of diagnosis.AimsA consensus conference aimed to develop and test a criteria set for traumatic grief.MethodThe expert panel proposed consensus criteria for traumatic grief. Receiver operator characteristic (ROC) analyses tested the performance of the proposed criteria on 306 widowed respondents at seven months post-loss.ResultsROC analyses indicated that three of four separation distress symptoms (e.g. yearning, searching, loneliness) had to be endorsed as at least ‘sometimes true’ and four of the final eight traumatic distress symptoms (e.g. numbness, disbelief, distrust, anger, sense of futility about the future) had to be endorsed as at least ‘mostly true’ to yield a sensitivity of 0.93 and a specificity of 0.93 for a diagnosis of traumatic grief.ConclusionsPreliminary analyses suggest the consensus criteria for traumatic grief have satisfactory operating characteristics, and point to directions for further refinement of the criteria set.

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British Journal of Psychiatry

Tập 174 Số 1

67-73

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